| NPI | 1699850511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0805X (Licence: WA MD00048277) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD00048277) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2025-09-29 |